Provider Demographics
NPI:1194865196
Name:RATHMAN, STEVEN D (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:D
Last Name:RATHMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4075 E GALBRAITH RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2323
Mailing Address - Country:US
Mailing Address - Phone:513-791-7958
Mailing Address - Fax:513-791-7541
Practice Address - Street 1:4075 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2323
Practice Address - Country:US
Practice Address - Phone:513-791-7958
Practice Address - Fax:513-791-7541
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03213888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist